ClinicalTrials.gg
RecruitingNCT06712095PILLCAMUpdated Dec 5, 2024

Video Capsule Examination in Patients With Lynch Syndrome

An interventional study of Video capsule investigation in Lynch Syndrome, Li Fraumeni Syndrome and PTEN Hamartoma Syndrome, sponsored by Royal Marsden NHS Foundation Trust. Recruiting at 1 site in United Kingdom. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-12-05.

Sponsored by Royal Marsden NHS Foundation Trust · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Primary completion was expected by Oct 2025, 1 year ago, but the record still lists the study as recruiting.
  • Registered 8 months after the study started (first participant enrolled Mar 2024, registered Nov 2024).
  • Started Mar 2024; still recruiting 2 years 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 12 studies in Colorectal Neoplasms, Hereditary Nonpolyposis with a site in United Kingdom — 8 open to participants now, 9 under way, none of them phase 3. Colorectal Neoplasms, Hereditary Nonpolyposis · United Kingdom.

Started
2024
with 2 others
No phase
4 of 12
3 open now
Registered
8th of 12
by date
Lead sponsor
2 of 12
Royal Marsden NHS Foundation Trust

Among the 12 studies in Colorectal Neoplasms, Hereditary Nonpolyposis with a site in United Kingdom, this one is one of 3 that started in 2024, is one of 4 with no phase, and was the 8th registered.

Colorectal Neoplasms, Hereditary Nonpolyposis

145 studies on the registry are indexed under Colorectal Neoplasms, Hereditary Nonpolyposis; 59 are open to participants now.

Browse Colorectal Neoplasms, Hereditary Nonpolyposis studies →

Open to participants now

8 of the 12 studies in Colorectal Neoplasms, Hereditary Nonpolyposis with a site in United Kingdom are open now. Recruiting first, the newest first:

2 more — sign in →

All 8 open studies →

A study can be open while its sites in United Kingdom have not opened yet or have stopped. Only those recruiting at a site in United Kingdom →

Who these studies take

Of the 43 Colorectal Neoplasms, Hereditary Nonpolyposis studies recruiting now, 32 (74%) set no upper age limit and 4 (9%) stop at 75 or younger; 4 take children under 18; 16 take healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

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02

Study summary

Surveillance for colorectal cancer (CRC) in patients predisposed to develop CRC during their lifetime has been impacted by access to colonoscopy suites and endoscopy specialists in the past couple of years. An alternative method, namely the colon capsule, has been proposed, however this investigation is time consuming for the clinician and the images require up to one hour (30-60 minutes) reading to issue a result. The investigators propose to obtain images from paired colonoscopies and colon capsules with the purpose of developing an AI algorithm which could aid the clinicians in reading the colon and expand access to this investigation.

The main aim of the study is to determine whether it is possible to obtain usable paired images from patients with Lynch and other cancer predisposition syndromes. This will depend on the willingness of the patients to take part in the study and the technical ability of obtaining data from paired images of colonoscopies and colon capsule.

At recruitment, participants will undergo a colon capsule investigation, followed by a routine colonoscopy as per their normal standard of care. Paired endoscopic images from colonoscopies and colon capsules will be collected and anonymised data will be accessed by the bioinformatician for analysis.

If the study will be successful in reaching the primary endpoint, further trials will be opened, allowing for a larger population to be included and to obtain more robust data, which eventually can lead to validated AI algorithms and application of computer-aided video-capsules examination as a screening tool in at-risk population.

03

Conditions studied

  • Lynch Syndrome
  • Li Fraumeni Syndrome
  • PTEN Hamartoma Syndrome
  • FAP
  • MUTYH Biallelic Mutation
  • STK11 Mutation
  • CDH1 Gene Mutation
  • CHEK2 Gene Mutation
  • BMPR1A Gene Mutation
  • SMAD4 Gene Mutation
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients over the age of 18 years old with no active cancer
  • No previous resection of the colon and/or rectum
  • Carriers of a pathogenic/likely pathogenic variant in any of the following cancer-predisposition genes: Lynch syndrome (MLH1, MSH2, MSH6, PMS2), APC (FAP syndrome); biallelic MUTYH; STK11 (Peutz-Jeghers syndrome); PTEN, CDH1, CHEK2, TP53, BMPR1A and SMAD4 (Juvenile polyposis syndrome)
  • Able to consent to the study and undergo colonoscopy.

Exclusion criteria

Exclusion Criteria:

  • Extensive surgery which poses a high risk of video-capsule blockage or narrowing of the bowel due to extensive tumour. Extensive surgery implies any removal of large portions of the small or large bowel that might cause a narrowing (stricture) in the digestive tract.
  • Previous irradiation to abdomen or pelvis (risk for small bowel obstruction)
  • Carriers of a variant associated with reduced penetrance (in the view of a geneticist) or a variant of uncertain significance.
  • Patients with a PS of 3 or 4 and/or mobility issues
  • Pregnancy
  • Pacemaker or internal electro-medical device (artificial heart valve, cochlear implant or an internal electromedical device).
  • Insulin-dependent diabetes
  • Patients who require deep sedation for colonoscopy
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
25 participants (estimated)

Study arms

  • Experimental
    Videocapsule investigation

    Device: Video capsule investigation

Interventions

  • DeviceVideo capsule investigation

    Participants will undergo both a video capsule examination and a colonoscopy on the same day.

    Also known as: Colonoscopy

06

What researchers measure

Primary outcomes

  1. The proportion of paired images the bioinformatician assesses as useful for the development of algorithm

    Time frame: 18 months

Secondary outcomes

  1. The proportion of patients at high-risk as defined by inclusion criteria who agree to undergo video capsule examination.

    Time frame: 18 months

  2. The proportion of patients who undergo both video capsule examination and colonoscopy, from whom it is possible to obtain paired images

    Time frame: 18 months

  3. The description of any adverse events collected for the Pillcam procedure.

    All adverse events will be collected using the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.

    Time frame: 18 months

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2024 (actual). Primary completion is estimated for Oct 2025, 19 months after the start.

Of 37 interventional studies with no phase under Colorectal Neoplasms, Hereditary Nonpolyposis, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 27 and three quarters within 86. This study's planned 19 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 26, 2024
First posted
Dec 2, 2024
StartActual
Mar 4, 2024
Primary completionEst.
Oct 31, 2025
CompletionEst.
Oct 31, 2025
Last update
Dec 5, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06712095
Responsible party
Sponsor
First posted
Dec 2, 2024
Start date
Mar 4, 2024
Primary completion
Oct 31, 2025 (estimated)
Completion
Oct 31, 2025 (estimated)
Last update
Dec 5, 2024

Study contacts

Elena Cojocaru, MD
Contact
elena.cojocaru@nhs.net
+44 20 7808 2603
Lydia Taylor, RN
Contact
lydia.taylor@rmh.nhs.uk
Richard Lee, PhD
principal investigator · Royal Marsden NHS Foundation Trust

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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